Obama hurt moderates with ruling on birth-control coverage

Tuesday

Jan 31, 2012 at 12:01 AMJan 31, 2012 at 12:29 PM

One of Barack Obama's great attractions as a presidential candidate was his sensitivity to the feelings and intellectual concerns of religious believers. So it is remarkable that he utterly botched the admittedly difficult question of how contraceptive services should be treated under the new health-care law.

E.J. Dionne, Washington Post Writers Group

One of Barack Obama’s great attractions as a presidential candidate was his sensitivity to the feelings and intellectual concerns of religious believers. So it is remarkable that he utterly botched the admittedly difficult question of how contraceptive services should be treated under the new health-care law.

In the process, Obama threw his progressive Catholic allies under the bus and strengthened the hand of those inside the church who had originally sought to derail the health-care law.

This might not be so surprising if Obama had presented himself as a conventional secular liberal. But he has always held himself to a more-inclusive standard.

His deservedly celebrated 2006 speech on religion and American public life was a sophisticated and balanced effort to defend the rights of both believers and nonbelievers in a pluralistic republic.

Obama’s speech at Notre Dame’s graduation in 2009 was another tour de force. It was highly controversial among right-wing Catholics, but it temporarily silenced many of his critics because it showed an appreciation for the Catholic Church’s contributions to American life, particularly through social-service and educational institutions.

Obama also was willing to annoy some in his liberal base during the battle for the health-care bill, by making sure that Catholic institutions do not have to perform or pay for abortions. Rather than praising him for this, the bishops and the Catholic right invented the idea that the health law covers abortion.

It doesn’t, as Sister Carol Keehan, president of the Catholic Health Association, insisted at the time, earning her much grief from the bishops. That’s why it was unconscionable for Obama to leave her hanging out to dry now.

At issue are regulations promulgated Jan. 20 by the Department of Health and Human Services that required contraceptive services to be covered by the insurance policies that will be supported under the Affordable Care Act.

In its interim rules in August, HHS excluded from this requirement only those “religious employers” who primarily serve and employ members of their own faith traditions. This exempted churches from the rule, but not Catholic universities or social-service agencies and hospitals that help tens of thousands of non-Catholics.

As a general matter, it made perfect sense to cover contraception. While the Catholic Church formally opposes contraception, this teaching is widely ignored by the faithful.

Speaking as a Catholic, I wish the church would be more open on the contraception question. But speaking as an American liberal who believes that religious pluralism imposes certain obligations on government, I think the church’s leaders had a right to ask for broader relief from a contraception mandate that would require it to act against its own teachings. The administration should have done more to balance the competing liberty interests here.

And it was offered a compromise idea to do just that by Melissa Rogers, the former chair of Obama’s Advisory Council on Faith-Based and Neighborhood Partnerships. (Rogers and I have worked together on issues of religion and public life over the years, though I played no role in formulating her proposal.) Rogers pointed to a Hawaii law under which “religious employers that decline to cover contraceptives must provide written notification to enrollees disclosing that fact and describing alternate ways for enrollees to access coverage for contraceptive services.” The Hawaii law effectively required insurers to allow uncovered individuals to secure this coverage on their own at modest cost.

Unfortunately, the administration decided it lacked authority to implement a Hawaii-style solution. The Obama team should not have given up so easily.

“The tensions and the suspicions on each side of the religious divide will have to be squarely addressed,” Obama said back in 2006. “And each side will need to accept some ground rules for collaboration.” I wish the president had tried harder to find such rules here.